First Module

1. HISTORY AND PHILOSOPHY

• 1a History
  Blow enemas, Gravity enemas, Egyptian evidence, Bulb enemas, Microenemas; Essene text.; Kellog, Tilden, Sister Allen, D'Anne Coburn, Milo Siewert, Woods, Dotolo, Aquazone, Transcom systems.
• 1b Philosophy
  Auto-toxicity and intestinal toxicity theories- Arbuthnot, Kellog, etc.; Naturopathic view of elimination; Modern view and evidence.
• 1c Controversies
  Bowel perforation risk; Electrolyte disturbance; Water pressure; Blood pressure risks; Bowel flora risks.

2. ANATOMY & PHYSIOLOGY

• 2a Anatomy
  Terminology; Overview of organs of elimination and functions. Waste products.
  Whole of gastro-intestinal system anatomy and structure:
  Abdominal anatomy - gut, liver, kidneys, spleen, ovaries, uterus, fallopian tubes, prostate. Pouch of Douglas ; Abdominal musculature; Blood vascular system; hepatic portal system; Lymphatics.
  Detailed anatomy of the colon: ICV, caecum, ascending, transverse, descending, sigmoid, rectum, rectal valve, anus. Haemorrhoidal plexus, anal sphincters.
• 2b Physiology
  Autonomic nerves: Para- and sympathetic pathways, influence on organs wrt. bowel and gut.
  Mesenteric nerves - functions; Hormonal & neurological influence on nerves and peristalsis.
  Nitrous oxide and nitrous oxide synthase; Neurological reflexes: ortho-colic, gastro-colic and others.
  Motility: How the bowel moves, 24 hour motility traces; Brief introduction to motility abnormalities (hyper and hypo); introduction to radiological interpretation of X-rays and CT scans; Functions of the colon.
• 2c Tests
  Blood pressure; Abdominal palpation; Auscultation; Percussion; Digital rectal exams.
  Laboratory tests: Stool tests for digestion, parasites, etc. plus interpretation.

3. DISEASE STATES

• 3a Organic Diseases of the Colon
  Aetiology and symptoms of; Inflammatory diseases: Ulcerative colitis, Crohn's disease.
  Appendicitis; Diverticulosis/itis; Fissures; Haemorrhoids; CA colo-rectal
  Conventional diagnostic methods of above, and orthodox treatments.
  Complementary treatment protocols for above, incl. colonics.
• 3b Functional Conditions of the Colon
  IBS; Constipation; ICV problems; Adhesions; Hernia
  Diagnosis, symptoms, and orthodox/complementary treatment of the above.
• 3c Discussion on causation of the above
• 3d Stool types
  Bristol chart; Significance of colour, texture and form.

4. INDICATIONS & CONTRA-INDICATIONS

• 4a Indications
  IBS; Constipation; Bowel cleansing & fasting; secondary conditions.
• 4b Absolute contra-indications
  Elevated B.P.; Malignancy; Inflammation; etc.
• 4c Relative contra-indication
  Pregnancy; etc.
• 4d Spiritual & Emotional
• 4e Special precautions for treating children

5. EQUIPMENT AND CLINIC SET-UP

• 5a Water filtration
  what can be removed, importance of, suppliers
• 5b Gravity systems
  room layout, diagrams, water heating, plumbing, resources
• 5c Machines
  suppliers, room layout, plumbing
• 5d Diagram of treatment room set-up

6. DISINFECTION/STERLISATION/SANITATION

• 6a The importance of adequate disinfection and sterilisation of re-usable equipment
  Recommended sterilants, their use and procedure; Autoclaves; The importance of removing macroscopic debris; Soaking times; Tubing; ARCH recommendations.
• 6b Disinfection of machines
  (Refer to suppliers handbooks)
• 6c Sanitation
  Cleaning of therapy room, washroom facilities, gowns, towels, etc.

7. CLIENT HANDLING

• 7a Booking and reception
• 7b Case history taking - uniform case history form; detailed discussion on main points; provision of uniform case history forms
• 7c Referrals from other practitioners - Protocol. Reporting
• 7d Practitioner dress and manner
• 7e Draping